16例持续全导联ST段下移与T波倒置患者长期随访分析  

The long term follow-up analysis in sixteen patients with lasting ST segment depression and T wave inversion

作　　者：李茹香[1] 高云[1] 钱艳芳[1] 李红[2] 

机构地区：[1]山西医科大学第一医院老年病科,太原030001 [2]山西太原日报社卫生所

出　　处：《中华心血管病杂志》1999年第4期295-297,共3页Chinese Journal of Cardiology

摘　　要：目的　进一步了解持续全导联ST段下移与T波倒置的临床意义和预后。方法　选取因不典型胸痛伴有持续全导联ST段下移与T波倒置患者 16例 ,随访观察 5～ 15年 ,常规观察心电图、超声心动图、心脏X线片、临床症状、心功能状态。结果　最后诊断肥厚型心肌病 9例 ( 5 6 3 % )、扩张型心肌病 2例 ( 12 5 % )、缩窄性心包炎 1例 ( 6 3 % )、糖尿病 2例 ( 12 5 % )、原因不明T波深倒者 2例( 12 5 % )。结论　左室肥厚是引起ST段下移与T波倒置的主要原因 ;糖尿病是又一原因。患者预后与T波倒置深度无关 ,主要取决于基础疾病的发展、恶性状态及伴发心律失常情况。Objective To evaluate the clinical significance and prognosis in patients with untypical chest pain complicated by lasting ST segment depression and T wave inversion in a standard 12 lead ECG Methods Sixteen patients were followed for 5 to 15 years and ECG, UCG, chest X ray, clinical symptoms, and cardiac function were detected regularly Results Of 16 patients, the final diagnosis was 9(56 3%) with hypertrophic cardiomyopathy, 2(12 5%) with dilated cardiomyopathy, 2(12 5%) with diabetes mellitus, 1(6 3%) with constrictive pericarditis, and 2(12 5%) with unknown reason T wave inversion Conclusion The results showed that left ventricular hypertrophy was the major cause of inducing ST segment depression and T wave inversion Diabetes mellitus was another reason Prognosis doesn′t depend on the depth of T wave inversion, but mainly on the primary disease, and concomitant arrhythmias

关 键 词：心电描记术 左心室肥大 心肌病 

分 类 号：R542.2[医药卫生—心血管疾病] R540.41[医药卫生—内科学]